FULL TEST BANK FOR MEDICAL-SURGICAL NURSING, 7TH EDITION BY ADRIANNE
DILL LINTON AND MARY ANN MATTESON CHAPTERS 1-62 COMPLETE A+
,Contents
Chapter 01: Aspects of Medical-Surgical Nursing .............................................................................4
Chapter 02: Medical-Surgical Practice Settings ................................................................................8
Chapter 03: Medical-Surgical Patients: Individuals, Families, and Communities .............................. 20
Chapter 04: Health, Illness, Stress, and Coping .............................................................................. 32
Chapter 05: Immunity, Inflammation, and Infection ...................................................................... 52
Chapter 06: Fluid, Electrolyte, and Acid–Base Imbalance ............................................................... 65
Chapter 07: The Patient with Cancer ............................................................................................. 77
Chapter 08: Pain ........................................................................................................................... 91
Chapter 09: Shock ...................................................................................................................... 104
Chapter 10: The Older Adult Patient ........................................................................................... 112
Chapter 11: Falls......................................................................................................................... 121
Chapter 12: Immobility ............................................................................................................... 134
Chapter 13: Delirium and Dementia ............................................................................................ 147
Chapter 14: Incontinence............................................................................................................ 159
Chapter 15: Nutrition ................................................................................................................. 172
Chapter 16: Intravenous Therapy ................................................................................................ 178
Chapter 17: Surgery .................................................................................................................... 190
Chapter 18: The Patient with an Ostomy ..................................................................................... 202
Chapter 19: Palliative and Hospice Care ...................................................................................... 215
Chapter 20: Complementary and Alternative Therapies............................................................... 226
Chapter 21: Neurologic System Introduction ............................................................................... 230
Chapter 22: Neurologic Disorders ............................................................................................... 238
Chapter 23: Cerebrovascular Accident......................................................................................... 245
Chapter 24: Spinal Cord Injury .................................................................................................... 259
Chapter 25: Respiratory System Introduction .............................................................................. 270
Chapter 26: Upper Respiratory Disorders .................................................................................... 286
Chapter 27: Acute Lower Respiratory Tract Disorders .................................................................. 292
Chapter 28: Chronic Lower Respiratory Tract Disorders ............................................................... 295
Chapter 29: Hematologic System Introduction ............................................................................ 307
Chapter 30: Hematologic Disorders ............................................................................................. 312
Chapter 31: Immunologic System Introduction ............................................................................ 319
Chapter 32: Immunologic Disorders ............................................................................................ 325
,Chapter 33: Cardiovascular System Introduction ......................................................................... 341
Chapter 34: Cardiac Disorders ..................................................................................................... 361
Chapter 35: Vascular Disorders ................................................................................................... 366
Chapter 36: Hypertension ........................................................................................................... 372
Chapter 37: Digestive System Introduction.................................................................................. 385
Chapter 38: Upper Digestive Tract Disorders ............................................................................... 391
Chapter 39: Lower Digestive Tract Disorders ............................................................................... 397
Chapter 40: Liver, Gallbladder, and Pancreatic Disorders ............................................................. 403
Chapter 41: Urologic System Introduction ................................................................................... 414
Chapter 42: Urologic Disorders ................................................................................................... 419
Chapter 43: Musculoskeletal System Introduction ....................................................................... 428
Chapter 44: Connective Tissue Disorders ..................................................................................... 431
Chapter 45: Fractures ................................................................................................................. 442
Chapter 46: Amputations............................................................................................................ 454
Chapter 47: Endocrine System Introduction ................................................................................ 466
Chapter 48: Pituitary and Adrenal Disorders ............................................................................... 470
Chapter 49: Thyroid and Parathyroid Disorders ........................................................................... 480
Chapter 50: Diabetes and Hypoglycaemia ................................................................................... 489
Chapter 51: Female Reproductive System Introduction ............................................................... 502
Chapter 52: Female Reproductive Disorders ................................................................................ 505
Chapter 53: Male Reproductive System Introduction ............................................................... 513
Chapter 54: Male Reproductive Disorders ................................................................................... 517
Chapter 55: Sexually Transmitted Infections ............................................................................... 524
Chapter 56: Integumentary System Introduction ......................................................................... 535
Chapter 57: Skin Disorders.......................................................................................................... 539
Chapter 58: Special Senses Introduction...................................................................................... 547
Chapter 59: Eye and Vision Disorders .......................................................................................... 563
Chapter 60: Ear and Hearing Disorders ........................................................................................ 567
Chapter 61: Psychobiological Disorders ....................................................................................... 572
Chapter 62: Substance Abuse ..................................................................................................... 583
,Chapter 01: Aspects of Medical-Surgical Nursing
MULTIPLE CHOICE
1. What provides direction for individualized care and assures the delivery of accurate, safe care
through a definitive pathway that promotes the client’s and the support persons’ progress toward
positive outcomes?
a. Physician’s orders
b. Progress notes
c. Nursing care plan
d. Client health history
ANS:C
The nursing care plan provides direction for individualized care and assures the delivery of accurate, safe
care through a definitive pathway that promotes the client’s and the support persons’ progress toward
positive outcomes.
DIF: Cognitive Level: ComprehensionREF: p. 2 OBJ: 1
TOP: Nursing Care Plan KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity:
Reduction of Risk
2. The nurse is performing behaviors and actions that assist clients and significant others in
meeting their needs and the identified outcomes of the plan of care. What is the correct term for these
nursing behaviors?
a. Assessments
b. Interventions
c. Planning
d. Evaluation
ANS:B
Caring interventions are those nursing behaviors and actions that assist clients and significant others in
meeting their needs and the identified outcomes of the plan of care.
DIF: Cognitive Level: ComprehensionREF: p. 3 OBJ: 1
,TOP: Interventions KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity:
Reduction of Risk
3. The nurse understands the importance of being answerable for all actions and the possibility of
being called on to explain or justify them. What term best describes this concept?
a. Reliability
b. Maturity
c. Accountability
d. Liability
ANS:C
Accountability means that a person is answerable for his or her actions and may be called on to explain
or justify them.
DIF: Cognitive Level: ComprehensionREF: pp. 6-7 OBJ: 3 | 5 | 7
TOP: Accountability KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity: Reduction
of Risk
MULTIPLE RESPONSE
1. The nurse manager is providing an inservice about conflict resolution. What modes of conflict
resolution should be addressed? (Select all that apply.)
a. Suppression
b. Accommodation
c. Compromise
d. Avoidance
e. Collaboration
f. Competition
ANS:B, C, D, E, F
The modes of conflict resolution include accommodation, collaboration, compromise, avoidance, and
competition.
DIF: Cognitive Level: Knowledge REF: p. 7|p. 8|Table 1.1
OBJ: 7 TOP: Conflict Resolution KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
,2. What are the characteristics of an effective leader? (Select all that apply.)
a. Effective communication
b. Rigid rules and regulations
c. Delegates appropriately
d. Acts as a role model
e. Consistently handles conflict
f. Focuses on individual development
ANS:A, C, D, E
Characteristics of an effective leader include effective communication, consistency in managing conflict,
knowledge and competency in all aspects of delivery of care, effective role model for staff, uses
participatory approach in decision making, shows appreciation for a job well done, delegates work
appropriately, sets objectives and guides staff, displays caring, understanding, and empathy for others,
motivates and empowers others, is proactive and flexible, and focuses on team development.
DIF: Cognitive Level: ComprehensionREF: p. 6 OBJ: 5
TOP: Leadership KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
COMPLETION
1. is defined as the process by which information is exchanged between individuals
verbally, nonverbally, and/or in writing or through information technology.
ANS:
Communication
Communication is defined as the process by which information is exchanged between individuals
verbally, nonverbally, and/or in writing or through information technology.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 2 TOP: Communication KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
2. is the collection and processing of relevant data for the purpose of appraising
the client’s health status.
ANS:
Assessment
Assessment is the collection and processing of relevant data for the purpose of appraising the client’s
health status.
,DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 1 | 2
TOP: Assessment KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
3. is concerned with the ethical questions that arise in the context of health care.
ANS:
Bioethics
Bioethics is concerned with the ethical questions that arise in the context of health care.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 3
TOP: Bioethics KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
4. Place the corresponding letter to each stage of conflict in the correct order. (Place the
events in the appropriate sequence with capital letters. Do not separate answers with a space or
punctuation. Example: ABCD.)
a. Outcomes
b. Conceptualization
c. Frustration
d. Action
ANS:
CBDA
The stages of conflict in order are frustration, conceptualization, action, and outcomes.
DIF: Cognitive Level: ComprehensionREF: p. 7 OBJ: 7
TOP: Conflict KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
5. Place the corresponding letter to each key step in solving an ethical dilemma in the correct
order. (Place the events in the appropriate sequence. Do not separate answers with a space or
punctuation. Example: ABCD.)
a. Negotiate a plan.
b. Clarify values.
c. Ask if it is an ethical dilemma.
d. Verbalize the problem.
e. Gather information.
f. Identify possible courses of action.
, g. Evaluate the plan over time.
ANS:
CEBDFAG
The key step of solving an ethical dilemma in order are ask the question, is it an ethical dilemma, gather
information, clarify values, verbalize the problem, identify possible course of action, negotiate a plan,
and evaluate the plan over time.
DIF: Cognitive Level: Analysis REF: p. 4 OBJ: 3 TOP: Ethical Dilemma KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
Chapter 02: Medical-Surgical Practice Settings
MULTIPLE CHOICE
1. While a home health nurse is making the entry to a service assessment on a homebound
patient, the spouse of the patient asks whether Medicare will cover the patient’s ventilator therapy and
insulin injections. What is the best response by the nurse?
a. “Yes, Medicare will cover both the ventilator therapy and the insulin injections.”
b. “No, Medicare will not cover either of these ongoing therapies.”
c. “Medicare will cover the ventilator therapy, but it does not cover the insulin injections.”
d. “Medicare will cover the ongoing insulin therapy, but it does not cover a highly technical skill
such as ventilator therapy.”
ANS:C
Medicare will cover skilled nursing tasks such as ventilator therapy, but common tasks that can be
taught to the family or the patient are not covered.
DIF: Cognitive Level: Application REF: pp. 12-13 OBJ: 3 | 4 TOP: Medicare Coverage for Home
Health
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. The wife of a patient asks the nurse whether her husband would be considered for placement in
a skilled nursing care facility when he is discharged from the general hospital. The patient is incontinent,
has mild dementia but is able to ambulate with a walker, and must have help to eat and dress himself.
What is the nurse’s most appropriate response?
DILL LINTON AND MARY ANN MATTESON CHAPTERS 1-62 COMPLETE A+
,Contents
Chapter 01: Aspects of Medical-Surgical Nursing .............................................................................4
Chapter 02: Medical-Surgical Practice Settings ................................................................................8
Chapter 03: Medical-Surgical Patients: Individuals, Families, and Communities .............................. 20
Chapter 04: Health, Illness, Stress, and Coping .............................................................................. 32
Chapter 05: Immunity, Inflammation, and Infection ...................................................................... 52
Chapter 06: Fluid, Electrolyte, and Acid–Base Imbalance ............................................................... 65
Chapter 07: The Patient with Cancer ............................................................................................. 77
Chapter 08: Pain ........................................................................................................................... 91
Chapter 09: Shock ...................................................................................................................... 104
Chapter 10: The Older Adult Patient ........................................................................................... 112
Chapter 11: Falls......................................................................................................................... 121
Chapter 12: Immobility ............................................................................................................... 134
Chapter 13: Delirium and Dementia ............................................................................................ 147
Chapter 14: Incontinence............................................................................................................ 159
Chapter 15: Nutrition ................................................................................................................. 172
Chapter 16: Intravenous Therapy ................................................................................................ 178
Chapter 17: Surgery .................................................................................................................... 190
Chapter 18: The Patient with an Ostomy ..................................................................................... 202
Chapter 19: Palliative and Hospice Care ...................................................................................... 215
Chapter 20: Complementary and Alternative Therapies............................................................... 226
Chapter 21: Neurologic System Introduction ............................................................................... 230
Chapter 22: Neurologic Disorders ............................................................................................... 238
Chapter 23: Cerebrovascular Accident......................................................................................... 245
Chapter 24: Spinal Cord Injury .................................................................................................... 259
Chapter 25: Respiratory System Introduction .............................................................................. 270
Chapter 26: Upper Respiratory Disorders .................................................................................... 286
Chapter 27: Acute Lower Respiratory Tract Disorders .................................................................. 292
Chapter 28: Chronic Lower Respiratory Tract Disorders ............................................................... 295
Chapter 29: Hematologic System Introduction ............................................................................ 307
Chapter 30: Hematologic Disorders ............................................................................................. 312
Chapter 31: Immunologic System Introduction ............................................................................ 319
Chapter 32: Immunologic Disorders ............................................................................................ 325
,Chapter 33: Cardiovascular System Introduction ......................................................................... 341
Chapter 34: Cardiac Disorders ..................................................................................................... 361
Chapter 35: Vascular Disorders ................................................................................................... 366
Chapter 36: Hypertension ........................................................................................................... 372
Chapter 37: Digestive System Introduction.................................................................................. 385
Chapter 38: Upper Digestive Tract Disorders ............................................................................... 391
Chapter 39: Lower Digestive Tract Disorders ............................................................................... 397
Chapter 40: Liver, Gallbladder, and Pancreatic Disorders ............................................................. 403
Chapter 41: Urologic System Introduction ................................................................................... 414
Chapter 42: Urologic Disorders ................................................................................................... 419
Chapter 43: Musculoskeletal System Introduction ....................................................................... 428
Chapter 44: Connective Tissue Disorders ..................................................................................... 431
Chapter 45: Fractures ................................................................................................................. 442
Chapter 46: Amputations............................................................................................................ 454
Chapter 47: Endocrine System Introduction ................................................................................ 466
Chapter 48: Pituitary and Adrenal Disorders ............................................................................... 470
Chapter 49: Thyroid and Parathyroid Disorders ........................................................................... 480
Chapter 50: Diabetes and Hypoglycaemia ................................................................................... 489
Chapter 51: Female Reproductive System Introduction ............................................................... 502
Chapter 52: Female Reproductive Disorders ................................................................................ 505
Chapter 53: Male Reproductive System Introduction ............................................................... 513
Chapter 54: Male Reproductive Disorders ................................................................................... 517
Chapter 55: Sexually Transmitted Infections ............................................................................... 524
Chapter 56: Integumentary System Introduction ......................................................................... 535
Chapter 57: Skin Disorders.......................................................................................................... 539
Chapter 58: Special Senses Introduction...................................................................................... 547
Chapter 59: Eye and Vision Disorders .......................................................................................... 563
Chapter 60: Ear and Hearing Disorders ........................................................................................ 567
Chapter 61: Psychobiological Disorders ....................................................................................... 572
Chapter 62: Substance Abuse ..................................................................................................... 583
,Chapter 01: Aspects of Medical-Surgical Nursing
MULTIPLE CHOICE
1. What provides direction for individualized care and assures the delivery of accurate, safe care
through a definitive pathway that promotes the client’s and the support persons’ progress toward
positive outcomes?
a. Physician’s orders
b. Progress notes
c. Nursing care plan
d. Client health history
ANS:C
The nursing care plan provides direction for individualized care and assures the delivery of accurate, safe
care through a definitive pathway that promotes the client’s and the support persons’ progress toward
positive outcomes.
DIF: Cognitive Level: ComprehensionREF: p. 2 OBJ: 1
TOP: Nursing Care Plan KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity:
Reduction of Risk
2. The nurse is performing behaviors and actions that assist clients and significant others in
meeting their needs and the identified outcomes of the plan of care. What is the correct term for these
nursing behaviors?
a. Assessments
b. Interventions
c. Planning
d. Evaluation
ANS:B
Caring interventions are those nursing behaviors and actions that assist clients and significant others in
meeting their needs and the identified outcomes of the plan of care.
DIF: Cognitive Level: ComprehensionREF: p. 3 OBJ: 1
,TOP: Interventions KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity:
Reduction of Risk
3. The nurse understands the importance of being answerable for all actions and the possibility of
being called on to explain or justify them. What term best describes this concept?
a. Reliability
b. Maturity
c. Accountability
d. Liability
ANS:C
Accountability means that a person is answerable for his or her actions and may be called on to explain
or justify them.
DIF: Cognitive Level: ComprehensionREF: pp. 6-7 OBJ: 3 | 5 | 7
TOP: Accountability KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity: Reduction
of Risk
MULTIPLE RESPONSE
1. The nurse manager is providing an inservice about conflict resolution. What modes of conflict
resolution should be addressed? (Select all that apply.)
a. Suppression
b. Accommodation
c. Compromise
d. Avoidance
e. Collaboration
f. Competition
ANS:B, C, D, E, F
The modes of conflict resolution include accommodation, collaboration, compromise, avoidance, and
competition.
DIF: Cognitive Level: Knowledge REF: p. 7|p. 8|Table 1.1
OBJ: 7 TOP: Conflict Resolution KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
,2. What are the characteristics of an effective leader? (Select all that apply.)
a. Effective communication
b. Rigid rules and regulations
c. Delegates appropriately
d. Acts as a role model
e. Consistently handles conflict
f. Focuses on individual development
ANS:A, C, D, E
Characteristics of an effective leader include effective communication, consistency in managing conflict,
knowledge and competency in all aspects of delivery of care, effective role model for staff, uses
participatory approach in decision making, shows appreciation for a job well done, delegates work
appropriately, sets objectives and guides staff, displays caring, understanding, and empathy for others,
motivates and empowers others, is proactive and flexible, and focuses on team development.
DIF: Cognitive Level: ComprehensionREF: p. 6 OBJ: 5
TOP: Leadership KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
COMPLETION
1. is defined as the process by which information is exchanged between individuals
verbally, nonverbally, and/or in writing or through information technology.
ANS:
Communication
Communication is defined as the process by which information is exchanged between individuals
verbally, nonverbally, and/or in writing or through information technology.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 2 TOP: Communication KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
2. is the collection and processing of relevant data for the purpose of appraising
the client’s health status.
ANS:
Assessment
Assessment is the collection and processing of relevant data for the purpose of appraising the client’s
health status.
,DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 1 | 2
TOP: Assessment KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
3. is concerned with the ethical questions that arise in the context of health care.
ANS:
Bioethics
Bioethics is concerned with the ethical questions that arise in the context of health care.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 3
TOP: Bioethics KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
4. Place the corresponding letter to each stage of conflict in the correct order. (Place the
events in the appropriate sequence with capital letters. Do not separate answers with a space or
punctuation. Example: ABCD.)
a. Outcomes
b. Conceptualization
c. Frustration
d. Action
ANS:
CBDA
The stages of conflict in order are frustration, conceptualization, action, and outcomes.
DIF: Cognitive Level: ComprehensionREF: p. 7 OBJ: 7
TOP: Conflict KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
5. Place the corresponding letter to each key step in solving an ethical dilemma in the correct
order. (Place the events in the appropriate sequence. Do not separate answers with a space or
punctuation. Example: ABCD.)
a. Negotiate a plan.
b. Clarify values.
c. Ask if it is an ethical dilemma.
d. Verbalize the problem.
e. Gather information.
f. Identify possible courses of action.
, g. Evaluate the plan over time.
ANS:
CEBDFAG
The key step of solving an ethical dilemma in order are ask the question, is it an ethical dilemma, gather
information, clarify values, verbalize the problem, identify possible course of action, negotiate a plan,
and evaluate the plan over time.
DIF: Cognitive Level: Analysis REF: p. 4 OBJ: 3 TOP: Ethical Dilemma KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
Chapter 02: Medical-Surgical Practice Settings
MULTIPLE CHOICE
1. While a home health nurse is making the entry to a service assessment on a homebound
patient, the spouse of the patient asks whether Medicare will cover the patient’s ventilator therapy and
insulin injections. What is the best response by the nurse?
a. “Yes, Medicare will cover both the ventilator therapy and the insulin injections.”
b. “No, Medicare will not cover either of these ongoing therapies.”
c. “Medicare will cover the ventilator therapy, but it does not cover the insulin injections.”
d. “Medicare will cover the ongoing insulin therapy, but it does not cover a highly technical skill
such as ventilator therapy.”
ANS:C
Medicare will cover skilled nursing tasks such as ventilator therapy, but common tasks that can be
taught to the family or the patient are not covered.
DIF: Cognitive Level: Application REF: pp. 12-13 OBJ: 3 | 4 TOP: Medicare Coverage for Home
Health
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. The wife of a patient asks the nurse whether her husband would be considered for placement in
a skilled nursing care facility when he is discharged from the general hospital. The patient is incontinent,
has mild dementia but is able to ambulate with a walker, and must have help to eat and dress himself.
What is the nurse’s most appropriate response?
